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AL KHAN CABANEZ ALSUA M.D.
NPI 1790927747
Family Medicine in Tracy, CA

Active since April 06, 2009PECOS EnrolledAccepts Medicare Assignment
2185 W GRANT LINE RD, TRACY MEDICAL OFFICES, TRACY, CA 95377(209) 839-3200 Get Directions Write a Review

NPPES record last updated: December 15, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Al Khan Cabanez Alsua M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AL KHAN CABANEZ ALSUA M.D. (NPI 1790927747) is an individual family medicine provider in Tracy, California, licensed in California (A118497) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1790927747
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameAL KHAN CABANEZ ALSUACredential: M.D.
Location Address2185 W GRANT LINE RD, TRACY MEDICAL OFFICESTracy, CA 95377-7309
Mailing Address7373 West Ln, Tpmg Physician AdministrationStockton, CA 95210-3377 · (209) 476-3484
Phone(209) 839-3200
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateApril 6, 2009
Last NPPES UpdateDecember 15, 2021
✔ NPI 1790927747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A118497
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2185 W GRANT LINE RD, Tracy, CA 95377
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Al Khan Cabanez Alsua M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597916874
PECOS Enrollment IDI20121114000320
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Al Khan Alsua reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
20 mi
Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1548343510 (209) 476-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95377 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELENA GALLARDO COSTA NP
Nurse Practitioner
2185 W GRANT LINE RD
TRACY, CA 95377
San Joaquin County (209) 839-3300
DR. TRACY ANN GAYESKI PSY.D.
Psychologist
2185 W GRANT LINE RD
TRACY, CA 95377
San Joaquin County (209) 839-6234
MS. MYRA MAE SIA HAYA CCC-SLP
Speech-Language Pathologist
2185 W GRANT LINE RD
TRACY, CA 95377
San Joaquin County (209) 839-3200
TIMOTHY WONG LMFT
Marriage & Family Therapist
2185 W GRANT LINE RD
TRACY, CA 95377
San Joaquin County (209) 839-3200
DR. NGOC SON DANG PHARMD
Pharmacist
2185 W GRANT LINE RD
TRACY, CA 95377
San Joaquin County (209) 839-6210
STACY QUACH PHARMD
Pharmacist
2185 W GRANT LINE RD
TRACY, CA 95377
San Joaquin County (209) 839-6210
JAMES G. STEPHEN MD
Internal Medicine
2185 W GRANT LINE RD
TRACY, CA 95377
San Joaquin County (209) 839-3200
DR. DOREEN ANN SAMELSON EDD, MSCP
Psychologist
2185 W GRANT LINE RD
TRACY, CA 95377
San Joaquin County (209) 839-6233

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Al Khan Alsua's NPI number?

The NPI number for Al Khan Alsua is 1790927747. It was assigned to this individual provider in the NPPES registry on April 6, 2009.

Where is Al Khan Alsua located?

Al Khan Alsua practices at 2185 W Grant Line Rd Tracy Medical Offices, Tracy, CA 95377. The listed phone number is (209) 839-3200.

What is Al Khan Alsua's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Al Khan Alsua enrolled in Medicare?

Yes. Al Khan Alsua is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Al Khan Alsua's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Al Khan Alsua reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Al Khan Alsua's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Al Khan Alsua was last updated on December 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.